OrganizationAffiliation

Defines an affiliation/assotiation/relationship between 2 distinct oganizations, that is not a part-of relationship/sub-division relationship.

Schema

Elements

Name	Required	Type	Description
identifier		Identifier[]	Business identifiers that are specific to this role Details Business identifiers that are specific to this role.
active		boolean	Whether this organization affiliation record is in active use Details Whether this organization affiliation record is in active use. If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active.
period		Period	The period during which the participatingOrganization is affiliated with the primary organization Details The period during which the participatingOrganization is affiliated with the primary organization.
organization		Reference<Organization>	Organization where the role is available Details Organization where the role is available (primary organization/has members).
participatingOrganization		Reference<Organization>	Organization that provides/performs the role (e.g. providing services or is a member of) Details The Participating Organization provides/performs the role(s) defined by the code to the Primary Organization (e.g. providing services or is a member of).
network		Reference<Organization>[]	Health insurance provider network in which the participatingOrganization provides the role's services (if defined) at the indicated locations (if defined) Details Health insurance provider network in which the participatingOrganization provides the role's services (if defined) at the indicated locations (if defined).
code		CodeableConcept[]	Definition of the role the participatingOrganization plays Details Definition of the role the participatingOrganization plays in the association.
specialty		CodeableConcept[]	Specific specialty of the participatingOrganization in the context of the role Details Specific specialty of the participatingOrganization in the context of the role.
location		Reference<Location>[]	The location(s) at which the role occurs Details The location(s) at which the role occurs.
healthcareService		Reference<HealthcareService>[]	Healthcare services provided through the role Details Healthcare services provided through the role.
telecom		ContactPoint[]	Contact details at the participatingOrganization relevant to this Affiliation Details Contact details at the participatingOrganization relevant to this Affiliation.
endpoint		Reference<Endpoint>[]	Technical endpoints providing access to services operated for this role Details Technical endpoints providing access to services operated for this role.

Search Parameters

Name	Type	Description	Expression
active	token	Whether this organization affiliation record is in active use	OrganizationAffiliation.active
date	date	The period during which the participatingOrganization is affiliated with the primary organization	OrganizationAffiliation.period
email	token	A value in an email contact	OrganizationAffiliation.telecom.where(system = 'email')
endpoint	reference	Technical endpoints providing access to services operated for this role	OrganizationAffiliation.endpoint
identifier	token	An organization affiliation's Identifier	OrganizationAffiliation.identifier
location	reference	The location(s) at which the role occurs	OrganizationAffiliation.location
network	reference	Health insurance provider network in which the participatingOrganization provides the role's services (if defined) at the indicated locations (if defined)	OrganizationAffiliation.network
participating-organization	reference	The organization that provides services to the primary organization	OrganizationAffiliation.participatingOrganization
phone	token	A value in a phone contact	OrganizationAffiliation.telecom.where(system = 'phone')
primary-organization	reference	The organization that receives the services from the participating organization	OrganizationAffiliation.organization
role	token	Definition of the role the participatingOrganization plays	OrganizationAffiliation.code
service	reference	Healthcare services provided through the role	OrganizationAffiliation.healthcareService
specialty	token	Specific specialty of the participatingOrganization in the context of the role	OrganizationAffiliation.specialty
telecom	token	The value in any kind of contact	OrganizationAffiliation.telecom

Inherited Elements

Name	Required	Type	Description
id		string	Logical id of this artifact Details The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
meta		Meta	Metadata about the resource Details The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
implicitRules		uri	A set of rules under which this content was created Details A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
language		code	Language of the resource content Details The base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
text		Narrative	Text summary of the resource, for human interpretation Details A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
contained		Resource[]	Contained, inline Resources Details These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
extension		Extension[]	Additional content defined by implementations Details May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
modifierExtension		Extension[]	Extensions that cannot be ignored Details May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Usage

A relationship between 2 organizations over a period of time, where the entities are separate business entities. The relationship can optionally include details of locations/services from the participating organization.

The OrganizationAffiliation enables defining non-hierarchical relationships between organizations. For example:

• One organization may provide services to another organization
  e.g. An agency service providing casual staff, a radiology service, a diagnostic lab, catering services, community care services etc.
• Two or more organizations may form a partnership or joint venture
• An organization may be a member of an association, but not owned by it
  e.g. a hospital is a member the American Hospital Association, a hospital is a member of a health information exchange network

Relationships

The Organization.partOf is used to form a hierarchical relationships within an organization which eventually resolves to a single organization. Each child in the tree is a subdivision of the parent.
The OrganizationAffiliation is used to describe the relationship between two distinct organizations. It does not require a hierarchical relationship. A resource instance is for a singular linkage between 2 organizations (it does not contain all members), to create multiple affiliations, create additional resources for the other relationship between other organizations.
Each instance contains its own period, and optionally links to specific related services/locations that are available. These referenced locations/services should be associated with the participating organization, and are available to the primary organization.

This resource should not be used when the affiliates are part of a single organization.